How do you manage a cervical cancer patient on anti-coagulation for pulmonary embolism requiring interstitial brachytherapy boost?

Topics: Radiation Oncology • Gynecologic Cancers

Is anticoagulation for PE an absolute or relative contraindication to IS brachy? Would you favor placement of IVC filter prior to procedure?

Answer from: Radiation Oncologist at Community Practice

Have done with IVC filter and switch to heparin days prior to the procedure so that can hold anti coagulant for the procedure and epidural placement for analgesia.

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Radiation Oncologist at Cancer Care Group
Just had this scenario 2 weeks ago and followed th...

Answer from: Radiation Oncologist at Academic Institution

Not a contraindication. We bridge with either heparin or more often lovenox in 2 days prior to the procedure if the patient is on DOAC.

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